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KMID : 0359819930220101153
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 10 p.1153 ~ p.1166
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Candida Albicans Shunt Infection
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이지영
왕규창/이환종/지제근/조병규
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Abstract
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Two patients of shunt infection caused by Candida albicans are presented. They were low birth weight premature babies with prolonged antibiotic therapy for the neonatal pneumonia. They were diagnosed as posthemorrhagic and congenital
hydrocephalus
and
underwent ventriculoperitoneal shunt (VPS). Postoperatively fever and setting sun eves developed and anterior fontanel became tense and bulging within two months after VPS. One patient was documented as C. albicans shunt infection by
bacteriological
study and scanning clectron microscopy (SEM) and the other patient by bacteriological study only. The authors controlled the C. albicans shunt infection by removal of shunt device and intravenous Amphotericin B. In C,. albicans shunt intection,
it
is
important to remove the infected shunt device immediately after the diagnosis and bacteriological study is diagnostic. But SEM plays a role in the demonstration of the fungal elements in the shunt device.
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KEYWORD
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